| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.79 | $331.79 | $1,700.00 | |
CareSource
| Facility | $337.56 | $381.78 | $415.96 | |
Cigna
| Facility | $360.83 | $360.83 | $360.83 |
Ins Pm Pls Gen W/Exist Single Lead
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.79 | $331.79 | $1,700.00 | |
CareSource
| Facility | $337.56 | $381.78 | $415.96 | |
Cigna
| Facility | $360.83 | $360.83 | $360.83 |